GARY CHEUKMAN LEE (NPI# 1073633467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073633467 |
| Entity Type | Individual |
| Full Name | GARY CHEUKMAN LEE |
| Credential | M.D. , PH.D. |
| Practice Address |
4980 Barranca Pkwy Ste 202 Irvine CA 92604-8653 |
| Practice Telephone | 9497331336 |
| Practice Fax Number | 9497333387 |
| Mailing Telephone | 9497331336 |
| Mailing Fax Number | 9497333387 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A055074 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A055074 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A055074 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346503778 | Gary Lee | Pharmacist | 2 Bedford Dr, Egg Harbor Twp, NJ 08234-7909 | 2012-06-20 |
| 1003963638 | Gary W Lee | Social Worker | 1965 S Eagle Rd, Ste 140, Meridian, ID 83642-9288 | 2007-01-04 |
| 1972689263 | Gary Wayne Lee | Dentist | 126 S Glendora Ave, West Covina, CA 91790-3035 | 2006-10-29 |
| 1932290863 | Gary William Doo Lee | Dentist | 21660 E. Copley Drive, Suite 200, Diamond Bar, CA 91765-4176 | 2006-09-27 |
| 1295843555 | Gary Lee | Dentist | 1259 Mason St, San Francisco, CA 94108-1010 | 2006-08-28 |
| 1063426278 | Gary Allen Lee | Optometrist | 11930 Garvey Ave, El Monte, CA 91732-3514 | 2006-07-27 |
| 1710909593 | Gary Robert Lee | Family Medicine | 7125 S. Braden Ave., Tulsa, OK 74136 | 2006-07-24 |
| 1710943113 | Gary Stewart Lee | Internal Medicine | 42808 Christy St Ste 216, Fremont, CA 94538-3119 | 2006-04-25 |
| 1891121448 | Gary Allen Lee | Pharmacist | 12189 Greenville Hwy, Lyman, SC 29365-1511 | 2013-09-15 |
| 1831429448 | Gary James Lee | Pharmacist | 1651 W Rose St, Walla Walla, WA 99362-1689 | 2010-01-04 |
| Street Address |
4980 BARRANCA PKWY STE 202 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-8653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225491293 | Christina Nicole Kraus | Dermatology | Uc Irvine Health 118 Med Surg 1, Irvine, CA 92697-3017 | 2016-03-29 |
| 1134514888 | Jessica Shiu | Dermatology | 118 Medical Surge 1, Irvine, CA 92697 | 2015-03-31 |
| 1811315583 | Nathan Rojek | Dermatology | 1 Medical Plaza Drive Gottschalk Medical Plaza, Irvine, CA 92697-3017 | 2014-03-31 |
| 1649513508 | Melissa Shive | Dermatology | Uci Dermatology 1 Medical Plaza Drive, Irvine, CA 92697 | 2013-03-29 |
| 1043578610 | Nadir Yusaf Qazi | Dermatology | 113 Waterworks Way Ste 105, Irvine, CA 92618-3171 | 2012-05-02 |
| 1164656229 | Vivian Laquer | Dermatology | 118 Med Surg I, Irvine, CA 92697-2400 | 2009-05-05 |
| 1386849958 | Heidi Goodarzi | Dermatology | 16300 Sand Canyon Ave., Suite 506, Irvine, CA 92618-3705 | 2007-06-15 |
| 1386767630 | Gary W Cole | Dermatology | Dept. of Dermatology, Univ. of Calif., Irvine, Medical Sciences 1, Rm C340, Irvine, CA 92697 | 2007-04-09 |
| 1851473862 | Nissan Pilest | Dermatology | 16100 Sand Canyon Ave Ste 190, Irvine, CA 92618-3723 | 2006-10-19 |
| 1407953102 | Jashin Joaquin Wu | Dermatology | 20 Cassidy, Irvine, CA 92620-3537 | 2006-09-17 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.